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Permit CITY - OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -10032 DEVELOPMENT SERVICES DATE ISSUED: 3/9/2006 ° � f l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 112CD -00700 SITE ADDRESS: 15940 SW 76TH AVE ZONING: R - SUBDIVISION: DURHAM ACRES LOT : 001 JURISDICTION: TIG Project Description: 2 BRANCH CIRCUITS TO AC AND OUTLET RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CHARLIE ZUMMERNA GRF ELECTRIC 15940 SW 76TH AVE 15460 SE PARADISE LN TIGARD, OR 97224 MULINO, OR'97042 Phone: 503 - 267 - 6407 Contact #: PRI 503 829 - 4146 FAX 503 - 829 -5747 FEES Description Date Amount Reg #: ELE 3 -484C [ELPRMT] ELC Permit 4/1/2006 $53.50 LIC 76751 [TAX] 8% State Surcharge 4/1/2006 $4.28 SUP 16555 Total $57.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 - 2344. ,, - /��, Issued By: � / %G�� Permittee Signature: (/ L 4 'riez/z. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mar O8 GRF ELECTRIC p.1 .��� `�~^ -. .1 �''� ' `. 1R-..-4 Ica' Peratitt ',^ .' ;A:' ',. jilr,i'''.? ''',.. I ' .' CU Date/BrO/y(Ob 456 Permit NoAC.,, /003 .2 Datenly: Other Permit No.: Contact Jur gi See Page 2 for 1 CI Service over 225 amps- corrunereial 0 Health-care facility 0 Hazardous location 4 " : • a ' terationir 4 • . I 4 . 4 I. Other: ['Service over 320 amps-rating of 0 Building over 10,000 square feet, J,l . jii: ,' .-:' . - , a* ' 'clw .:, :.. Ili C-ommercialandustrial CI system over 600 volts nominal onc structure 0 Building over three stories Ci Feeders, 400 amps or more . , 0 Occupant-load over 99 persons 0 Manufactured structures or RV park S'. ',' .Ulibill,irt Other: 0 Egress/lighting plan 0 Other: 11 New residential-single or multi-family per dwelling MAL Includes attached garage. 75.00 itir Limited energy, residential Limited energy, non residential Each manufactured home or modular dwelling --',.''. ‘ t: '' , ... ,; .. . . .. • ' l I OR TiTiPo ii tr171 ;' ..13,1 • ;1 "..'W 4 44 .aiserviericeuano:0":eed" 90,90 ''"2 401 amps to 600 amps .. 160.60 2 Oyez 1000 amps or volts 454.65 2 tr;',. -Aadress:' -) 4 it 0 s ;4, - "7 Co - 4-i ,C .' Temporary services or feeders - installation, -:••.,:- • t-• Branch circuits - new, alte.ration, or - ..r4; A. Fee for branch circuits with purchase of .,.: N., statejzi . : B, Fee far branch circuits without purchase of • •+` (*'-ei service or feeder fee, first branch circuit [ 44.85 t iC,,V'S -- : I, • ; Each additional branch circuit -I 6.65 Signal eirevit(s) or a limited energy panel, . Each additional Inspection over the allowable in an of the above: •,-, J . % • - - iik4C .„ - , -N•zk& S 0 0 te ' . Subtotal $ '..-• .,.' k:r„,'t-'MllTEIEIIMK'ZMII State Surcharge (8% of Perrnit Fee) S 'T 446‘4014. • . '''. Notice; This permit application expires If a pernitt b not oh r•at ned within Date: 180 days after It has been accepted as complete. :•::, P: ''' _.' '.1"',A. . *Fee methodology set by Tri-County Building Industry Service Board. CITY OF TIGARD ez__C BUILDING DIVISION PERMIT #: 2 c'o (o -100 3;, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 k Ar Nuypii l\ Inspection Requests (24 Hrs.): (503) 639 -4175 v:_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /.5 9 La 760 441 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: . DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3-a 9 -0(0 Pour Time: Code # Inspection Description Confirm # Contact # Message i99 & ` / _ ; : s - .908 , Corrections /Comments /Instructions: R - --- t/C.,e___.2 :1 7+ , M • • PASS T Pi'TIAL APPROVAL ❑ CANCEL 1 I NO ACCESS FAIL I L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 2-q- ©G Phone #: (503) 718- low